title: [Invasive aspergillosis of sphenoidal sinus in a patient in Djibouti, revealed by palsy of cranial nerves: a case report].
abstract: The authors report a case of invasive aspergillosis of a sphenoid sinus mucocele revealed in a patient with diabetes in Djibouti by homolateral palsy of the 3rd, 4th, 5th and 6th nerves. This rare condition occurs preferentially in immunodeficient subjects. Because of its clinical polymorphism, its diagnosis is difficult and is often not made until complications develop. Endonasal surgery with anatomopathological and mycological examination is both a diagnostic and therapeutic procedure. It must be performed early, to avoid functional or even life-threatening complications.
authors.affiliation: Service ORL et chirurgie cervicofaciale, hôpital d'instruction des armées du Val-de-Grâce, 74 boulevard de Port-Royal, 75005 Paris, France. anna.crambert@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Crambert
authors.forename: J
authors.initials: J
authors.lastname: Gauthier
authors.forename: R
authors.initials: R
authors.lastname: Vignal
authors.forename: C
authors.initials: C
authors.lastname: Conessa
authors.forename: B
authors.initials: B
authors.lastname: Lombard
mesh_terms: D003389:Cranial Nerve Diseases / Q000382:microbiology*; D015730:Djibouti; D006801:Humans; D008297:Male; D008875:Middle Aged; D020953:Neuroaspergillosis / Q000150:complications*; D013101:Sphenoid Sinus
keywords: Aspergillus niger; Djibouti; cranial nerves palsy; invasive aspergillosis; mucocele; sphenoid sinus